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Would my HCG levels rise this high if I had miscarried?

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I went to the doctor for a transvaginal ultrsound when I experienced mild spotting (this occurred right after intercourse and there has been no spotting since). Going off my LMP, the doctor assumed I was around 7 weeks pregnanct despite the fact that I don't think I was more than 4-5 weeks into my pregnancy. My HCG beta level was at 19,000. The doctor was worried because he could not detect a fetal pole or heartbeat. A subsequent HCG test two days later revealed my levels had risen to 31,000. There were no molar "growths" observed, and I have another ultrasound scheduled for tomorrow (this marks a week since the first u/s). I still feel every symptom I felt before this doctor's visit but am very worried since he indicated this might not be a viable pregnancy. Would my HCG levels still continue to rise this dramatically if I had miscarried? I am 33 and this is my first pregnancy. Any advice would be appreciated.

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replied February 8th, 2012
First Trimester of Pregnancy Answer A31309
Welcome to ehealthforum,
If the serial HCG levels have shown doubling up of hormone levels in 48-72 hours and if there was no molar pregnancy detected, it would suggest that pregnancy is going on smoothly. Early ultrasound scans sometimes fail to detect fetal pole. Around 6-8 weeks of gestation, the fetal pole and heartbeat becomes more evident in few women. Go ahead with getting the repeat ultrasound scan done (preferably transvaginal). Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet.
Take care.

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